| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,674 |
4,739 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,544 |
3,432 |
$188K |
| 59430 |
|
896 |
809 |
$79K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
743 |
737 |
$79K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
827 |
774 |
$54K |
| 76801 |
|
622 |
595 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
729 |
712 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
547 |
503 |
$45K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
347 |
309 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
36 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
379 |
352 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
150 |
76 |
$9K |
| 59025 |
Fetal non-stress test |
150 |
103 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
431 |
419 |
$5K |
| 99215 |
Prolong outpt/office vis |
64 |
62 |
$4K |
| 81025 |
|
463 |
435 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$404.38 |
| 81002 |
|
39 |
37 |
$101.44 |
| 3015F |
|
666 |
626 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
160 |
$0.00 |
| 96040 |
|
20 |
20 |
$0.00 |